| NPI | 1033302906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A SHADID Business Owner 405-840-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 22294) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2022-08-15 |